Individual provider · Type 1 NPI
Jason Tyler Cooper
Acute Care Nurse Practitioner · Murray, UT
NPI number
1780358671
Active
Practice location
5121 S Cottonwood St
Murray, UT 84107-5701
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 7746166-4405 (UT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1780358671
Jason Tyler Cooper's National Provider Identifier is 1780358671, issued on Aug 4, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Murray, UT. The record was last updated on Jun 12, 2022.